NPI | 1134495963 |
---|---|
Former Name | SHAYLA RUFFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015441) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-03-27 |
Last Update Date | 2020-02-19 |